Invasive Mucormycosis in a Case of Aluminium Phosphide Poisoning
Published: April 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/24327.9473
Nitin Gupta, Gagandeep Singh, Karan Aggarwal, Alok Thakar, Immaculata Xess
1. Senior Resident, Department of Medicine and Microbiology, Infectious Disease Division, All India Institute of Medical Sciences, Delhi, India.
2. Assistant Professor, Department of Microbiology, All India Institute of Medical Sciences, Delhi, India.
3. Junior Resident, Department of Otorhinolaryngology, All India Institute of Medical Sciences, Delhi, India.
4. Professor, Department of Otorhinolaryngology, All India Institute of Medical Sciences, Delhi, India.
5. Professor, Department of Microbiology, All India Institute of Medical Sciences, Delhi, India.
Correspondence
Dr. Immaculata Xess,
Professor, Department of Microbiology, All India Institute of Medical Sciences, Delhi-110029, India.
E-mail: immaxess@gmail.com
Mucormycosis is a rapidly progressive disease with high mortality reported mostly in immunocompromised individuals. We report a case of Rhino-orbital mucormycosis (Lichtheimia corymbifera) in an immunocompetent individual with history of consumption of Aluminium Phosphide (ALP) tablets. We postulated the following effects of ALP poisoning that would have increased the chances of mucormycosis in this patient: 1) Metabolic acidosis; 2) Acute Kidney Injury (AKI); and 3) Liberation of free oxygen radicals.
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